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[颈椎血管造影的脑部并发症(发生率、临床表现、预防措施及治疗)]

[Cerebral complications of cervical angiography (frequency, clinical manifestations, preventive measures and treatment)].

作者信息

Khalikov T, Tsyb A F, Oliper T V

出版信息

Vopr Neirokhir. 1976 Jan-Feb(1):47-52.

PMID:1258446
Abstract

The authors carried out angiographic examinations in 327 patients with tumours in the cervical region and 11 of these (3.36%) demonstrated complications, toxico-allergic ones in 10 and thromboembolism of the cerebral vessels--in one case. Toxico-allergic reactions and dynamic disturbances of the cerebral circulation developed more often in contrasting 2 or more brachycephalic vessels, with a two-fold introduction of the contrast medium into one and the same vascular basin and also in cases of a quick injection of a relatively large amount of the compound into the vertebral artery. Thromboembolism of the cerebral vessels was, apparently, caused by a small clot of blood which occluded an atherosclerotically altered internal carotid artery at the site of its bifurcation. Clinical manifestations of the said complications and a number of preventive and curative measures in case of cerebral complications arising during cervical angiography are considered in detail.

摘要

作者对327例颈部肿瘤患者进行了血管造影检查,其中11例(3.36%)出现并发症,10例为毒-过敏反应,1例为脑血管血栓栓塞。毒-过敏反应和脑循环动态障碍在对比2条或更多短头血管时更常发生,造影剂分两次注入同一血管床,以及在将相对大量的造影剂快速注入椎动脉的情况下。脑血管血栓栓塞显然是由一小团血凝块引起的,该血凝块在颈内动脉分叉处阻塞了发生动脉粥样硬化改变的部位。文中详细讨论了上述并发症的临床表现以及颈部血管造影期间发生脑部并发症时的一些预防和治疗措施。

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